Active NPI
Mark Wayne Garrison Sr.
- Taxi
- Lynchburg, VA
National Provider Identifier
1649991407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- T60439260
- Practice address
- 115 Camp Ave
Lynchburg, VA 24501-6931 - Phone
- (434) 544-1709
- Fax
- (434) 386-8658
- NPI assigned
- Sep 8, 2022
- Last updated
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | T60439260 | VA | Primary |
Addresses
Primary practice location
115 Camp Ave
Lynchburg, VA 24501-6931
Mailing address
115 Camp Ave
Lynchburg, VA 24501-6931
Phone (434) 544-1709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T60439260 | VA | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1649991407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CAMP AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245016931",
"telephone_number": "434-544-1709",
"fax_number": "434-386-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CAMP AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245016931",
"telephone_number": "434-544-1709",
"fax_number": "434-386-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "MARK",
"middle_name": "WAYNE",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "VA",
"license": "T60439260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.